| NPI | 1053790717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HILDEGARDE GEISSE Manager/ Owner 561-310-7759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: FL ME96190) |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2018-06-20 |